BURNEY A MILLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013081

License Status

EXPIRED

Business

First Name

BURNEY A

Last Name

MILLER

Suffix

Business Name

BURNEY A MILLER MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006